CARLY DETOR

SYRACUSE, NY
NPI1114303278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  339796)
Enumeration Date2015-07-30
Last Update Date2015-07-30
Business Address
-- CARLY DETOR NP
104 UNION AVE SUITE 1001-1002
SYRACUSE, NY 13203-1843
Phone number: 315-423-7192
Mailing Address
-- CARLY DETOR NP
104 UNION AVE SUITE 1001-1002
SYRACUSE, NY 13203-1843
Phone number: 315-423-7192
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